Bolingbrook Eye Care & Eyewear Gallery, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010458 Issued in IL

Legal business name

BOLINGBROOK EYE CARE & EYEWEAR GALLERY, LLC

Practice address

124 E Boughton Rd
Bolingbrook, IL 60440-2014

Phone

(630) 358-4533

Fax

(630) 348-8133

NPI assigned

Mar 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Varney, O.D.NPI 1417237488

Title

Optometrist

Phone

(319) 404-7565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Varney, O.D.

  • Optometrist
  • Bolingbrook, IL
  • NPI 1417237488
  Medicare reassignment Care Compare group NPD Authorized official
• Katarzyna M Aleszczyk Varney, O.D

  • Optometrist
  • Chicago, IL
  • NPI 1699114116
  Medicare reassignment Care Compare group NPD
• Rasa Tharp, O.D.

  • Optometrist
  • Crestwood, IL
  • NPI 1508012485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1265973036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402014",
            "telephone_number": "630-358-4533",
            "fax_number": "630-348-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402014",
            "telephone_number": "630-358-4533",
            "fax_number": "630-348-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLINGBROOK EYE CARE & EYEWEAR GALLERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "319-404-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Boler, MD
• Katie Bolf, ATC
• Bolingbrook Compounding Pharmacy
• Bolingbrook Dental Associates LLC
• Bolingbrook Dental Care
• Bolingbrook Eye Specialists LTD
• Bolingbrook Family Chiropractic LTD
• Bolingbrook Foot & Ankle Center, P.C.
• Bolingbrook Foot Specialists LTD
• Bolingbrook Healthcare Associates S.C.

• Optometrist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.